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CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC NPI 1255635371


NPI Information

NPI: 1255635371
Provider Name: CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
49 CRESCENT STREET
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 344-9993
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CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC is an obstetrics gynecology in Middletown, CT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CRESCENT STREET OBSTETRICS & GYNECOLOGY LLC NPI is 1255635371. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

49 CRESCENT STREET
MIDDLETOWN, CT
ZIP 06457-601
Phone: (860) 344-9993
Fax: (860) 344-9844

The provider's authorized official is Julie S Flagg .
The authorized official title is Owner and has the following contact phone number (860) 344-9993.

The enumeration date for this NPI number is 1/4/2011 and was last updated on 1/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology025189CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004089729MEDICAIDCONNECTICUT
2C00724MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.